20050595 Ver 1_Complete File_20050408

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 25, 2005
Michael Lewis
Michael Lewis, Inc.
55 Chloe Lane
Waynesville, NC 28786
Subject Property: Cobblers Knob - Utility Crossing
Waynesville, NC
DWQ Project # 05-0595
Haywood County
Approval of 401 Water Quality Certification with Additional Conditions
Dear Mr. Lewis:
You have our approval, in accordance with the attached conditions and those listed
below, to place fill within or otherwise impact 15 linear feet of streams for the purpose of
installing water service lines at the subject property, as described within your application
received by the N.C. Division of Water Quality (DWQ) on April 8, 2005. After reviewing
your application, we have decided that the impacts are covered by General Water
Quality Certification Number(s) 3374 (GC3374). The Certification (s) allows you to use
Nationwide Permit(s) 12 when issued by the US Army Corps of Engineers (USACE). In
addition, you should obtain or otherwise comply with any other required federal, state or
local permits before you go ahead with your project including (but not limited to) Erosion
and Sediment Control, Non-discharge, and stormwater regulations. Also, this
approval to proceed with your proposed impacts or to conduct impacts to waters
as depicted in your application shall expire upon expiration of the 404 or CAMA
Permit.
This approval is for the purpose and design that you described in your application. If
you change your project, you must notify us and you may be required to send us a new
application. If the property is sold, the new owner must be given a copy of this
Certification and approval letter and is thereby responsible for complying with all
conditions. If total fills for this project (now or in the future) exceed one acre of wetland
or 150 linear feet of stream, compensatory mitigation may be required as described in
15A NCAC 2H .0506 (h). This approval requires you to follow the conditions listed in
the attached certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
401 Wetlands Certification Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone]/ FAX [phone] /Internet htto://h2o.enr state nc us/ncwetlands
iN0(thCarolina
?Vaturally
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
%_uumers Nnoo:
Page 2 of 6
April 25, 2005:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific
and general conditions of this Certification (or Isolated Wetland Permit) are met.
No other impacts are approved including incidental impacts:
Amount
Approved (Units) Plan Location or Reference
Stream 15 (feet) Hemphill Creek
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all
specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to protect surface
waters standards:
a. The erosion and sediment control measures for the project must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Sediment and Erosion Control Planning
and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and
erosion control measures must be such that they equal, or exceed, the
requirements specified in the most recent version of the North Carolina
Sediment and Erosion Control Manual. The devices shall be maintained on
all construction sites, borrow sites, and waste pile (spoil) projects, including
contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be
designed, installed, operated, and maintained in accordance with the most
recent version of the North Carolina Surface Mining Manual.
d. The reclamation measures and implementation must comply with the
reclamation in accordance with the requirements of the Sedimentation
Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian
areas beyond the footprint of the impacts depicted in the Pre-Construction
Notification. All construction activities, including the design, installation, operation,
and maintenance of sediment and erosion control Best Management Practices,
shall be performed so that no violations of state water quality standards, statutes,
or rules occur.
R
l.obblers Knob:
Pa-e 3 of 6
April 25, 200:
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters
to the maximum extent practicable. If placement of sediment and erosion control
devices in wetlands and waters is unavoidable, they shall be removed and the
natural grade restored within six months of the date that the Division of Land
Resources has released the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification
or applicable Buffer Rules, and any subsequent modifications, the applicant is
required to return the attached certificate of completion to the 401/Wetlands Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC,
27699-1650.
6. Culverts that are less than 48 inches in diameter should be installed with 20% of the
diameter of the culvert placed below the level of the stream bottom to allow the
accumulation of stream bed materials in the culvert and to facilitate aquatic life
passage during periods of low stream flow. Larger diameter culverts should be
placed 1 foot below the stream bottom. The culvert should be placed in the main
flow channel (i.e. thalweg). Partial burial of the culvert in this manner also may
require increasing the size of the culvert to accommodate flow requirements. Where
multiple pipes or barrels are used in parallel, one pipe should be installed as
described above while the bottom of the barrel on the other/s should be higher (i.e.,
level of floodplain bench) so that only flood flows can pass. This ensures adequate
flow and water depth at the stream crossing in the base pipe or barrel during low and
normal flow periods.
7. Under no circumstances should rock, sand, or other materials be dredged from the
stream channels under authorization of this permit, except in the immediate vicinity
of the culverts. In stream dredging has catastrophic effects on aquatic life and
disturbance of the natural form of the stream channel can cause downstream
erosion problems. The natural dimension, pattern, and profile of the stream above
and below the crossing should not be modified by widening the stream channel or
changing the depth of the stream.
8. The culverts should be placed in a dry work area if possible. Sandbags, flexible
pipe, or other diversion structures should be used where possible to minimize
excavation in flowing water. Materials used for flow diversions should be removed
from the stream bed after completing the construction work.
9. If concrete is used during construction (e.g., headwalls), a dry work area must be
maintained to prevent direct contact between curing concrete and stream water.
Water that inadvertently contacts live concrete should not be discharged to surface
waters due to the potential for water chemistry changes that can cause a fish kill.
10. Riprap placed for bank stabilization should be limited to the stream bank below the
high water mark and vegetation should be used above. Rip rap should not be
placed in the stream channel in a manner that obstructs aquatic life passage.
Cobblers Knob:
Page 4 of 6
April 25, 2006:
12. Riparian vegetation, especially trees and shrubs, should be preserved as much as
possible at the stream crossings. Native woody vegetation (e.g., rhododendron, dog
hobble, silky dogwood, sycamore, river birch, red maple) should be reestablished
upstream and downstream of the culverts if vegetation is removed during
construction to provide bank stability and shading. We encourage the reuse of
native plants that must be removed from permanently disturbed areas (e.g. new
roads).
13.All mechanized equipment operated near surface waters should be inspected and
maintained regularly to prevent contamination of stream waters from fuels,
lubricants, hydraulic fluids or other toxic materials.
14. Discharging hydroseed mixtures and washing out hydroseeders and other
equipment in or adjacent to surface waters is prohibited.
15.Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained
as diffuse flow at non-erosive velocities through the protected stream buffers
such that it will not re-concentrate before discharging into a stream.
16. Turbidity Standard
The turbidity standard of 10 NTUs (Nephelometric Turbidity Units) shall not be
exceeded as described in 15 A NCAC 2B. .0200. Appropriate sediment and
erosion control practices must be used to meet this standard.
17. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or
riparian areas beyond the footprint of the impacts depicted in the Pre-
construction Notification. All construction activities, including the design,
installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water
quality standards, statutes, or rules occur.
Violations of any condition herein set forth may result in revocation of this Certification
and may result in criminal and/or civil penalties. The authorization to proceed with your
proposed impacts or to conduct impacts to waters as depicted in your application and
as authorized by this Certification, shall expire upon expiration of the 404 or CAMA
Permit.
If you do not accept any of the conditions of this Certification (associated with the
approved wetland or stream impacts), you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition, which conforms to Chapter 150B of the North Carolina General
Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
N.C. 27699-6714. This certification and its conditions are final and binding unless you
ask for a hearing.
t-oooiers &nob:
Page 5 of 6
April 25, 2005:
This letter completes the review of the Division of Water Quality under Section 401 of
the Clean Water Act. If you have any questions, please telephone Cyndi Karoly in the
Central Office in Raleigh at 919-733-9721 or Mr. Kevin Barnett in the DWQ Asheville
Regional Office at 828-296-4657 or at [e-mail].
Sincerely,
l
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Alan W. Klimek, P. E.
AWK/khb
Enclosures: GC 3402
Certificate of Completion
cc: Bradshaw Engineering, Inc.
Post Office Box 1011
Waynesville, NC 28786
USACE Asheville Regulatory Field Office
DWQ Asheville Regional Office
DLR Asheville Regional Office
File Copy
Central Files
Filename: 05-0595.Cooblers Knob. GC3374.Approval
MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: Barnett. Kevin
WQ Supervisor: Roger Fdwards
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Cobblers Knob S/D waterline ext. c/o Michael Lewis County Haywood
Project Number 05 0595 County2
Recvd From APP Region Asheville
Received Date 4/8/05 Recvd By Region
Project Type Waterline extension
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
NW12 Stream P7 &N 5-26-16 TR 40,305. 1 15.04
Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? Q Y 0 N Did you request more info? Q Y @ N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y @ N
Is Mitigation required? Q Y @ N Recommendation: Q Issue OO Issue/Cond O Deny
Provided by Region: Latitude (ddmmss) 353344 Longitude (ddmmss) 830209
Comments:
Issued from ARO - 04/25/2005 - KHB
cc: Regional Office Page Number 1
'
Central Office
Triage Check List
Date: 4/11/05
Kevin Barnett, Asheville Regional Office
To: 60-day Processing Time: 4/8/05 to 6/6/05
From: Cyndi Karoly Telephone : [phone]
DWQ#: 05-0595
County: Haywood
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Neuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern

Comments: As per our discussion regarding revision of the triage and delegation processes,
please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Project Name: Cobblers Knob
TD,
Engineering
CIVIL ENGINEERING n LAND PLANNING
To: Division of Water Quality
401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC, 27699-1650
P.O Box 1011 - Waynesville, NC 28786
Phone: [phone] -Fax: [phone]
www.bradshawengineering.com
RE: Submittal for Michael Lewis, Inc
Utility Line / Creek Crossing at Hemphill Creek
Haywood County, NC
From: Patrick Bradshaw, PE ?0&,P 4D,
Date: April 5, 2005
'? /
Enclosed please find seven copies of the USCOE Pre-Construction Notification Form for the
project noted above. Also included is a check in the amount of $200.00.
If you need additional information regarding this matter, please do not hesitate to contact me
at 828-452-4410.
Q0,2_3 @ r 12, 0 d19
APR 8 2005
DENR- WATER QUALITY
WETLANDS AND STORMWATER BRANCH
APR 8 2005 PP i\"1 E T
:NR - WATER QUALITY R C CE 1 E D
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ No.. -
(If any particular item is not applicable to this project, please enter "Not'Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: Michael Lewis Inc.
Mailing Address: 55 Chloe Lane
Waynesville, NC 28786
Telephone Number: 828400-9660 Fax Number:
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Patrick Bradshaw / Bradshaw Engineering, Inc.
Company Affiliation: President
Mailing Address: PO Box 1011
Waynesville. NC 28786
Telephone Number: 828-452-4410 Fax Number: 828-456-5455
E-mail Address: [e-mail]
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: A proposed waterline extension for Cobblers Knob subdivision
2. T.I.P. Project Number or State Project Number (NCDOT Only): n/a
3. Property Identification Number (Tax PIN): 7698-94-8773
4. Location
County: Haywood Nearest Town: Maggie Valley
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
US 276 N from Maggie Valley to left onto Hemphill Road, proceed on Hemphill Road
To Grindstone Rd., the proposed creek crossing is immediately on the left
5. Site coordinates, if available (UTM or Lat/Long): Lat 35-33-44 N Long 83-02-9 W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 1 ac
7. Nearest body of water (stream/river/sound/ocean/lake): Hemphill Creek
8. River Basin: French Broad
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp:Hli2o.enr.state.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing property is pasture and woodland and the general
land use in the area is single family housing
Pap 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Project consists of construction of a new waterline extension. Equipment should include a
track-hoe (for installation of the waterline) and other typical utility construction equipment
11. Explain the purpose of the proposed work: To provide adequate water supply to the
Proposed 25-Lot subdivision
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
N/A
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: Impacts include installation
Of a proposed 6" waterline across the width of Hemphill Creek at the noted location
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://Xti-NNw.femaTov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: N/A
Total area of wetland impact proposed: N/A
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Utility Crossingt 15 Hemphill Creek. 15' Perennial

" List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net losstgain),
stabilization activities (cement Nvall, tip-rap, crib wall, gabions, etc.), excavation, ditchung/straightcning, etc. If stream relocation is
proposed, plans and profiles shoeing the linear footprint for both the original and relocated streams must be included.
Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
sov. Several into net sites also allow direct download and printing of USGS maps (e.g., ,vxvw.topozonc-coni,
rnvw.mapquesttconn, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 15 LF
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U. S.) below:
Open Water Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
N/A

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
In order to serve the property from the existina water svstem. the existine stream must be .
Crossed with the proposed utility line. The only reasonable alternative was to construct an
aerial crossin.R which because of flood flow impacts and cost consideration was not chosen.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
littp://li2o.enr.state.ne.us/ncwetlands/strm?,,ide.litml.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at littp://1i2o.enr.st ite.nc.us/wrp/index.litm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federaUstate) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
N/A
XH. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
All proposed lots will be served by individual septic systems permitted by the Haywood Co.
Health Department.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
W? 0,
Copyright (C) 1997, Maptech, inc.

PROPOSED C, D
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.
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WATERLWE,TYP. I

1
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APPROX. PROPERTY I /
LINE LOCATION
1 ? ' 1
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PROPOSED SILT FENCE
PROPOSED MEEK - `=
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\ `----------'
GRIND
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SCALE: 1" = W

x
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IMITS OF CREEK CROSSING x
Z

LL

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LL SEE TYPICAL CREEK CROSSING O a AND AS RECOMMENDED BY
45' M.J,
0 TRENCH DETAIL n. ENGINEER IN THE FIELD
a
BEND.
TYPICAL CLASS I RIPRAP-EACH BANK EXISTING GRADE
TYPICAL, MINIMUM 1TI'THICK
EXTEND 10' EACH SIDE FROM
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= FILTER FABRIC, TYP.
N WATER LEVEL
ER MAIN \\ ?J 1Q1??GL d ?? `
WATER WATER MAN
W
ALL FITTINGS & BENDS
SHALL BE RESTRAINED
MECH. JOINT
RESTRAINED JOINT FINISHED GRADES OF NCDOT CL 1 TYPE
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MATCH PRE-CONSTRUCTION CHANNEL BOTTOM
GRADES
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NOTES: NCDOT W ` RESTRAINED DIP
1. ALL WATER MAIN PIPING WITHIN 11M" OF CREEK STONE BEDDING WATER MAN

CROSSNG SHALL DE RESTRAINED JOINT DUCTILE (SEE PLAN FOR SIB
IRON PIPE, CL 50 US PIPE TR FLEX OR APPROVED EQUAL
TYPICAL CREEK CROSSING TRENCH
NO SCALE
TYPICAL WATERLINE CREEK CROSSING
NOT TO SCALE
FIfJAL DGSION - FOR APPROVAL ONLY
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